Sports are a big part of Jef Farland's life. In addition to the nearly 30 years he worked in parks and recreation, he always has enjoyed his own athletic and recreational pursuits.
So when hip pain curtailed his activity, the 57-year-old sought a doctor's help.
"I haven't been able to golf in several years, and I'd love to play softball again," says Farland, who retired several years ago from his job as Director of Leisure Facilities and Services for the city of Davenport to pursue his doctorate.
"Not being able to walk the dog, work around the house or garden...it has really restricted my life. At times, I've had terrible pain, and I walked with a limp."
Farland is on his way back to an active lifestyle after undergoing a total hip replacement surgery this summer at Genesis Medical Center, Davenport.
Now, you can be part of the Operating Room action and watch Farland's total hip replacement surgery unfold. His surgery will be shown to a worldwide audience on OR-Live.com and premiere Monday, Sept. 8, at 7 p.m. The live panel webcast, which will include Farland, will originate from the Adler Health Education Center, in the lower level of the Genesis Heart Institute on the Genesis Medical Center, East Rusholme Street campus.
Those interested in or considering hip replacement surgery are invited to the Adler Center to watch the webcast live. Also watch from home by logging onto the Genesis Web site, www.genesishealth.com. Clicking on “Watch a Surgery” in the rotating ad box on the home page.
The hip replacement surgery is performed by Joseph Martin, M.D., Orthopaedic and Rheumatology Associates, P.C (ORA). ORA, one of the largest practices of its kind between Chicago and Denver, has seven locations and more than 20 doctors providing bone and joint care to residents of eastern Iowa and western Illinois.
Farland's is one of more than 234,000 hip replacement surgeries performed in the United States each year. That number is expected to continue growing as the population ages, according to the National Hospital Discharge Survey.
The most common reason for hip replacement is osteoarthritis in the hip joint. Osteoarthritis is a degenerative disease that breaks down cartilage in the joint, causing bones to rub together.
Total hip replacement also is a treatment for rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling), osteonecrosis (a disease that causes the bone in joints to die), injury of the hip joint and bone tumors that break down the hip joint.
In the webcast, Dr. Martin uses an anterolateral approach to perform the hip replacement procedure. This approach allows the patient to lie on his or her side during the surgery. After making a four-inch incision, Dr. Martin divides only a small amount of muscle to gain access to the joint.
"This approach has been associated with a lower dislocation rate," explained Dr. Martin, who is certified by the American Board of Orthopaedic Surgery. "It is designed to minimize muscle injury, while still providing a clear view of the joint during surgery."
Advantages of modern total hip replacement include:
Accelerated recovery time;
Potential for fewer restrictions during recovery because patients more freely bend their hip and bear their full weight immediately or soon after surgery;
Reduced scarring because the technique allows for one relatively small incision, and;
Greater stability of the implant sooner after the surgery.
The pain control protocol used results in less discomfort during the important recovery period while minimizing the side effects associated with some pain medicines.
During the procedure, Dr. Martin will dislocate the hip; ream the acetabulum, or hip socket to allow placement of a metal cup; remove the head, or ball of the femur (thigh bone) and some of the inner bone; insert a metal stem into the femur; and, add a metal ball to the end of the stem. Once the artificial ball and socket are realigned, the small amount of muscle that was divided to allow access to the joint is reattached and the incision closed.
In addition to highlights of the surgical procedure, the webcast also will provide a glimpse of the inpatient physical rehabilitaiton that Farland, now a professor in the Department of Recreation, Park and Tourism Administration at Western Illinois University, underwent before his discharge from the hospital.
Joseph Martin, M.D., center, Orthopaedic & Rheumatology Associates, P.C., performs a total hip replacement at Genesis Medical Center, Davenport -- a surgery that will premiere on the Genesis Web site on Monday, Sept. 8, at 7 p.m. Sarah Martin, Perioperative Assistant, is at the left, and Mark Hichborn, PA-C, of ORA is to the right.
Farland spent a couple of days on the newly renovated Orthopaedics floor of the Genesis, West Central Park campus. During that time, he received physical rehabilitation to help him get back on his feet and education to heop prevent dislocations of his hip after surgery.
"Before he goes home, we need to make sure he can get in and out of bed on his own; is able to walk household distances; go up and down stairs and get up and down from chairs and couches," said physical therapist Chelsea Peters after Farland's surgery as she helped him negotiate steps and normalize his gait pattern while using a walker. "We also do strengthening exercises to help build up his hip strength."
Total hip replacement patients have several important precautions to follow to protect the new hip from dislocation. They include not bending at the waist more than 90 degrees; no twisting the leg inward; or crossing the legs, she adds.
During the webcast, discussion also will include durability of hip replacements, recovery, life after hip replacement and the importance of having the procedure done in a high-volume facility.
"It's been well-documented that complication rates are lower if you are at a hospital where these procedures are done often," says Dr. Martin. "That ensures the surgeons, nurses and physical therapists are experienced in caring for joint replacement patients. It makes for a safer environment and that's definitely the case at Genesis."
OR-Live.com is the Web’s largest source of live and on-demand surgical video from leading hospitals and academic institutions. Its Web site attracts an average of nearly 500,000 unique visitors each month. Audiences come from all 50 states as well as from nearly 200 countries in North America, Central and South American, Europe, Asia, Africa and Oceania.
Previous Genesis webcasts have spotlighted minimally invasive Transforaminal Lumbar Interbody Fusion to eliminate back pain; laparoscopic Roux-en-Y gastric bypass, a surgical procedure for weight loss; minimally invasive thoracic aortic aneurysm repair; Sentinel Lymph Node Biopsy for breast cancer; and off-pump, or beating heart, coronary artery bypass graft using the Cardica C-Port stapling system.
What: A live panel webcast of a total hip replacement surgery performed by orthopaedic surgeon Joseph Martin, M.D., of Orthopaedic and Rheumatology Associates, P.C.
When: Monday, Sept. 8, 7 p.m.
Where: Genesis Heart Institute, lower level, 1236 E. Rusholme St., Davenport
To watch from home: Go to the Genesis Web site, www.genesishealth.com. Click on “Watch a Surgery” in the rotating ad box on the home page.
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